Minimally invasive percutaneous plate and external fixationg for the treatment of type Gustilo II fractures of tibia and fibula
ZHOU Zhi
ZUO Wenshan
XIE Yue
WANG Liming
Abstract：Objective To compare the effect of minimally invasive percutaneous plate osteosynthesis ( MIPPO) and external fixation technique in the treatment of Gustilo type II fractures of tibia and fibula .Methods Sixty-five cases of Gustilo type II fractures of tibia and fibula patients were enrolled , according to the operation mode , they were divided into MIPPO group (33 cases) and external fixator group (32 cases).The operation time, bleeding volume, postoperative 2 groups swel-ling subsided time , healing time of fracture , the excellent and good rate and postoperative complications were compared be-tween the two groups .Results The amount of bleeding , swelling time showed no significant difference between the MIPPO group and external fixation group ( P >0.05), MIPPO group’s operation time is shorter than the external fixator group , the difference was statistically significant ( P <0.05), postoperative fracture healing time in MIPPO group was significantly shor-tened compared with the external fixator group ( P <0.05).The incidence of postoperative complications has no significant difference (21.2% vs.21.9%, P >0.05) between the 2 groups, but the minimally invasive percutaneous plate fixation group has relatively more cases of infection .The last time follow-up showed that minimally invasive percutaneous plate fixation group’s excellent and good rate was also significantly more than external fixator group (90.9%vs.78.1%, P <0.05).Con-clusion Both minimally invasive percutaneous plate fixation and external fixation for the treatment of Gustilo type II of tibial and fibula fractures have good clinical curative effect .Minimally invasive percutaneous plate osteosynthesis revealed shorter operation time , fracture healing is relatively fast , long-term effect is good , but the incidence of infection of fixation for the treatment is low .
Keywords：Minimally invasive percutaneous plate osteosynthesisExternal fixationFracture of tibia and fibulaGustilo II
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 1152-1155 )